Pyogenic Abscess of the Liver

Diffenbaugh, Willis G.; Strohl, E. Lee; Padua, Cesar De

doi:10.1001/archsurg.1960.01300060080016

Cited by 8 publications

(7 citation statements)

References 20 publications

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“…Cronin (1961) observed jaundice in one of 10 solitary abscesses and in half of the patients with multiple abscesses. Diffenbaugh et al (1960) also found it to be a feature of multiple abscesses. In general, it may be said that jaundice is indicative of multiple abscesses, of biliary obstruction, or of diffuse and severe liver destruction.…”

Section: Seriesmentioning

confidence: 93%

“…Pyrtek and Bartus (1965) recorded 17 abscesses in the right lobe and five in the left in 22 cases. Diffenbaugh et al (1960) considered the right lobe to be involved eight times more frequently than the left, whilst Hirschowitz (1952) indicated that abscesses are likely to be situated in the right lobe when the source was unknown. According to Pyrtek and Bartus (1965), abscesses following gastric operations are usually in the left lobe, although the examples in the present series were in the right lobe.…”

Section: Seriesmentioning

confidence: 99%

“…Block et al (1964) reported the need for drainage of abscesses elsewhere, especially in the brain and kidneys, in one third of their patients. In the review by Diffenbaugh et al (1960), empyema, abscesses of the lungs and brain, and subphrenic abscesses were reported. Some 10% of cases of subphrenic abscess have intercurrent liver abscesses (Harley, 1955).…”

Section: Seriesmentioning

confidence: 99%

“…In general, it may be said that jaundice is indicative of multiple abscesses, of biliary obstruction, or of diffuse and severe liver destruction. Hepatomegaly has been observed as the commonest physical sign, and it should be noted that the enlargement may be sudden and dramatic (Wyndham, 1945;Diffenbaugh et al, 1960).…”

Section: Seriesmentioning

confidence: 99%

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Pyogenic liver abscess.

Bütler¹,

McCarthy²

1969

Gut

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Section: Seriesmentioning

confidence: 93%

Section: Seriesmentioning

confidence: 99%

Section: Seriesmentioning

confidence: 99%

Section: Seriesmentioning

confidence: 99%

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Pyogenic liver abscess.

Bütler¹,

McCarthy²

1969

Gut

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“…The abscess has a reported incidence of < 0.03%, with < 10% of cases secondary to appendicitis [2]. The development of this abscess has been attributed to the spread of bacteria or septic thrombi associated with the portal vein and its tributaries [6]. Acute appendicitis with ileocecal vein thrombophlebitis is considered a potential cause.…”

Section: Discussionmentioning

confidence: 99%

A 2-year-old with a hepatic abscess secondary to an ascending retrocecal appendicitis: case report and review of the literature

et al. 2019

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BackgroundDiagnosing appendicitis within the pediatric population can be challenging, whether it be a neonate with irritability or a toddler with flank pain. Symptoms may mimic a viral illness, constipation, urinary tract infection, or intussusception, all of which are more common in this age group when compared with appendicitis. While a ruptured appendicitis can result in an intra-abdominal abscess, peritonitis, and/or shock, the development of a pyogenic hepatic abscess is extremely rare.Case presentationWe present the case of a 2-year-old male who initially presented to the emergency department (ED) with fever and non-specific abdominal pain and was diagnosed with a urinary tract infection (UTI). He returned to the ED days later with rigors, worsening abdominal pain, and was diagnosed with a pyogenic hepatic abscess secondary to an ascending retrocecal appendicitis. In our patient, he did not just have a UTI with cultures growing Escherichia coli, but a hepatic abscess that was polymicrobial. He was started on broad-spectrum antibiotics and a 10 French pigtail catheter was placed. The patient was ultimately discharged on day 8 with continued antibiotics. After his antibiotic course, he underwent an elective laparoscopy appendectomy and is currently doing well post-operatively.ConclusionOur case report illustrates the significance in identifying atypical features of appendicitis, broadening the differential of non-specific abdominal pain in pediatric patients, and depending on the clinical situation, ruling out other potential intra-abdominal infections even in the presence of a true urinary tract infection.

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